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Osteochondrosis
Osteochondrosis
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Video Transcription
This is Barry Bellosis, one of the musculoskeletal radiology fellows at Stanford University. 13 year old female soccer player with two months of left foot pain concerned for osteochondrosis. The patient in this case presented with this radiograph. In this foot radiograph, we can see flattening of the third metatarsal head with subchondral sclerosis as seen here. On magnified view, we can also see subchondral changes in the third metatarsal head. Osteochondrosis of the metatarsal head may be a result of a traumatic insult either in the form of acute or repetitive injury and vascular compromise. If there is concern for an infection, we look for any signs of periosteal reaction or any lytic changes. Rheumatologic disorder, on the other hand, typically presents in a polyarticular pattern and may be accompanied by marginal erosions. However, serum testing could be performed to correlate to radiographic findings. This is in a different patient showing a flattened second metatarsal head with subtle subchondral sclerosis typical of osteochondrosis involving the second metatarsal head.
Video Summary
A 13-year-old female soccer player is experiencing left foot pain for two months, suspected to be osteochondrosis. Radiographs reveal changes in the third metatarsal head, including flattening and subchondral sclerosis, likely due to traumatic injury or vascular issues. Osteochondrosis is differentiated from infections, which show periosteal reaction or lytic changes, and rheumatologic disorders, which present with polyarticular patterns and marginal erosions. Serum testing may further assist in diagnosis. A comparison with a different patient shows similar changes in the second metatarsal head, typical for osteochondrosis in that region.
Meta Tag
Edition
2nd Edition
Related Case
2nd Edition, CASE 14
Topic
Foot and Ankle
Keywords
2nd Edition, CASE 14
2nd Edition
Foot and Ankle
osteochondrosis
metatarsal
foot pain
radiographs
diagnosis
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